| Tracy Kennedy Counseling Llc | |
|
1142 Highway 71 S Ste C Mena AR 71953-8078 | |
| (479) 437-7967 | |
| Not Available |
| Full Name | Tracy Kennedy Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1142 Highway 71 S Ste C, Mena, Arkansas |
| Authorized Official Name and Position | Tracy Kennedy (OWNER) |
| Authorized Official Contact | 4792164262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Kennedy Counseling Llc 151 Allen Ln Oden AR 71961-8069 Ph: (479) 216-4262 | Tracy Kennedy Counseling Llc 1142 Highway 71 S Ste C Mena AR 71953-8078 Ph: (479) 437-7967 |
| NPI Number | 1891411559 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 9032631882 |
|---|---|
| Medicare Enrollment ID | O20250320003593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891411559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tracy Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619227279 PECOS PAC ID: 7911429790 Enrollment ID: I20250321000576 |
Brandi Titsworth Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Highway 71 S Ste C, Mena, AR 71953 Phone: 479-437-7967 Fax: 479-385-0260 | |
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The Guidance Center - Polk County Sats Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Cherry St, Mena, AR 71953 Phone: 479-452-6650 Fax: 479-785-9495 | |
Our Hour Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1142 Highway 71 S, Mena, AR 71953 Phone: 479-437-7967 | |
Stephanie Matthews Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1142 Highway 71 S Ste C, Mena, AR 71953 Phone: 479-385-0260 | |
The Guidance Center - Mena Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Cherry St, Mena, AR 71953 Phone: 479-452-6650 Fax: 479-785-9495 | |
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